This is an a online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient online learning portfolio and your valuable inputs on the comment box is welcome. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient. Chief complaints: 75 years old male came to OPD with cc of pedal edema since 1month,shortness of breath since 20days,vomitings since 10days History of present illeness: Patient was apparently asymptomatic 1month back ,then he developed bilateral pedal edema which is insidious in onset gradual in progression upto the knee and pitting type edema. Patient was asymptomatic 20...